FWIW, (which isn't much) my take on the matter is that there are indeed truly gender displaced persons, and those persons will be able to live their new lives with a minimum of complications, hopefully.

Howsoever, even in the course of my relatively sheltered life, I cannot help having come in contact with some plug-ugly M/F "transgendered" persons, who have about the same chance of ever passing for female as I have for passing as Tommy Emmanuel.

These persons, I cannot help but feel, would benefit far more from the attentions of a kindly but firm psychiatrist rather than a ready and willing surgeon.